Milestones That Define Our Success: Celebrating the Progress and Achievements That Make Us Proud.
Delivered a talk on diet and liver in SOBA club
Article 1
Nagpur: A 60-year-old woman with a cancerous tumour in her gastric outlet was relieved from difficulty in food intake after doctors\ used a stent to connect her stomach with small intestine bypassing the gastric outlet which was blocked by the tumour. Tumour in the stomach is a common cause for gastric cancer. The patient is unable to eat as the tumour obstructs food passage from the stomach to the intestine. This leads to nutritional issues and aggravates the suffering of cancer patients.
As the surgery was minimally invasive the patient was allowed to eat just four hours after the procedure and she went home the very next day. Over the next seven days she started having normal food and gained weight and strength to fight cancer. City gastroenterologist Dr Amit Agrawal who performed this surgery claimed it was the first such procedure in Central India.
Dr Agrawal used a novel technique of linear echoendo- scope and inserted a specially designed metallic stent. This procedure requires an advanced endoscope called Endoscopic Ultrasound which is only available at a select few hospitals in the country.The surgeon said this is a unique procedure that allows patients with stomach cancer to eat food for the rest of their lives without any recurrence. In this procedure a puncture is made directly from the stomach into the small intestine and the stent is placed said Dr Agrawal
The cancer patient was being treated by oncologist Dr Sushil Mandhaniya who referred her to Dr Agrawal.There are two options to resolve such issues. The first is surgery to remove the tumour which was quite difficult for this patient. So the second option planting a metallic stent (pipe) through the tumour mass which allows the patient to eat food was planned.In January we fixed a stent through the tumour. But the stent was blocked in a few months as a cancerous tu-mour grew inside it. To solve this problem we decided to go for a noveltechnique of joining the stomach with the small intestine bypassing the tumour with the help of a specially designed metallic stent said Dr Agrawal.
The procedure carried some risk but the patient was ready for it he said.
Written by Chaitanya.Deshpande (@timesgroup.com)
Article 2
Nagpur: Jathar means stomach and small A tumour developed in the tube connecting the intestine. Because of this the food was not moving forward. A 60-year-old woman with cancer had become weak. Considering the condition of the patient it was not possible to perform a major surgery to remove the tumour. At that time the very complicated procedure of connecting the stomach and small intestine with the help of a stent was successfully completed. This was the first procedure in Central India.
Due to cancerous tumor forming in the tube of stomach and small intestine the food eaten was not passing through the small intestine. A 60-year-old woman became weak due to this. Stomach disease expert Dr. The woman came to Dr. Amit Agarwalfor treatment three months ago. Dr. Agarwal removed the blockage by the tumor by inserting a metal stent into the tube connecting the stomach and small intestine.
However after three months a tumor was formed there again. Food was not reaching the intestines due to tumor obstruction.
The process of food digestion and alternative energy production was slow. Major surgical removal of the tumor was life-threatening. In such a case it was necessary to make a hole in the stomach and intestines and connect both parts to each other to prepare a way for the food to reach the intestines. For this very complicated procedure with the help of endoscopic ultrasound.
Many complex surgeries which are done in Pune Mumbai or outside the state are now also done in Nagpur. This procedure on this woman was risky and for the first time in Central India. Between the stomach and the small intestine it was not easy to pierce both and insert a stent to allow food to pass through the stomach into the intestines. After this successful procedure the patients condition is stable and the life of the woman has become bearable as the process of digestion has started.Dr. Amit Agarwal Gastroenterologist
Agarwal succeeded.
Notably the procedure was so risky that failure required major open-abdominal surgery.
Preparations were also made; But due to the experience and skill of the doctor the procedure was successful without incision.
Article 3
Nagpur: Presently it has been proved that too much running around stress and irregularity in eating habits consuming food which is not suitable for one body are responsible for any disease. Anytime anywhere anything food taken only on desire despite not being needed invites many diseases. Many examples of diarrhea (gastro) gastro enteritis any liver disease proving fatal.
Are visible around you. Therefore it is the need of the hour to protect yourself from any gastro and liver related disease. This feeling Dr. Dr. Amit Agrawal Gastroenterologist and Hematologist Chief Director of Amit Agrawal GL Plus Gastro and Liver Hospital has expressed. This hospital is ready to serve the city against the backdrop of malaise caused by gastro and liver related diseases.
About Dr. Amit Agrawal...
Dr. Amit Agrawal is one of the best gastroenterologists and hepatologists in Nagpur. He has more than 16 years of hands-on experience in this field and has also performed many invasive operations. He completed MBBS and MD in General Medicine from Government Medical College and Hospital (GMCH) Nagpur in 2007 while DM in Medical Gastroenterology from Post Graduation Institute of Medical Education and Research (PGIMER) Chandigarh in 2010. He is considered the best doctor for endoscopy pancreatic and biliary diseases. He has worked in various have given. Through his medical experience and service work in hospitals many incurable patients got relief from their diseases.
Till now he has collected 60 thousand OPD patients and 7 thousand IPD patients have been successfully examined. Along with doing ERCP on 4 thousand patients endoscopy has been done on 40 thousand patients. More than 500 endoscopic ultrasound procedures have been performed successfully in the last four years. He is considered the best in endoscopic ultrasound. He is known as the first doctor in Central India to perform various endoscopic procedures like Laparoscopy through ERCP and Gastrojejunostomy through Endoscopic Ultrasound. He has also proven his expertise in Third Space Endoscopy (POEM) and Manometry procedures. Due to this experience he has now come to serve the patients with GL Plus Gastro and Liver Hospital.
Gave life to a woman suffering from Cancer:
For example this surgery was done for the first time in Nagpur under the guidance of Dr. Amit Agrawalin May 2020. This was the first surgery in Central India. Initially they got connected to each other due to the woman being 60 years old and having a cancerous tumor between her stomach and small intestine. As a result the ingested food was not digested. Timely treatment was necessary and there was a lot of risk in it. Dr. Agrawal removed the obstruction of the tumor by inserting a metal stent in the tube connecting the stomach and small intestine. But after three months the lump formed again. Therefore it was necessary to do a major operation. This was also dangerous. Therefore with the help of endoscopic ultrasound Dr. Agrawal successfully performed this very complex procedure. The risk was so much that if this procedure failed even a little a major operation would have to be done by opening the stomach and preparations for this were also made in advance. But with the experience and expertise ofDr. Amit Agrawal this woman is living a completely normal life today.
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